Exam 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

The nurse notes a run of three ventricular contractions (PVC) that are not preceded by a P wave. This particular arrhythmia can progress into:

Which assessment would lead the nurse to examine the leg closely for evidence of a stasis ulcer?

A patient, age 72, was admitted to the medical unit with a diagnosis of angina pectoris. Characteristic signs and symptoms of angina pectoris include:

The nurse would design teaching for a patient with Raynaud disease to include which of the following? (Select all that apply.)

Arrange in sequence the path of the blood through the coronary circulation. (Separate letters by a comma and space as follows: A, B, C, D) A) Right atrium B) Pulmonary artery C) Tricuspid valve D) Right ventricle E) Superior and inferior vena cava F) Pulmonary vein G) Left atrium H) Mitral valve I) Left ventricle J) Lungs

A patient admitted to the emergency room with a possible myocardial infarction (MI) has reports back from the laboratory. Which laboratory report is specific for myocardial damage?

The nurse is treating a patient who has had a pacemaker inserted for the correction of atrial fibrillation. Which diagnostic test is no longer available to the patient because of the implanted device?

The nurse assesses pitting edema that can be depressed approximatel $\frac { 1 } { 4 }$ y inch and refills in 15 seconds. The nurse would document this assessment as:

A patient is admitted from the emergency department. The emergency department physician notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of IV. This indicates the patient's condition as:

What is the difference between primary and secondary hypertension?

Following an angiogram with the insertion site of the left groin, the nurse will include in the plan of care provisions for (select all that apply):

The elderly patient with angina pectoris says she is unsure how she should take nitroglycerin when she has an attack. The nurse's most helpful response would be:

The nurse points out which of the following as modifiable risks for coronary artery disease (CAD)? (Select all that apply.)

When assessing a patient with a possible MI, what should the nurse assess for? (Select all that apply.)

The home health nurse caring for a patient with infective endocarditis overhears the patient making a dental appointment for an extraction next month. Which question is most important for the nurse to ask?

The cardiac marker ___________ rises 3 hours after a myocardial infarct and measures myocardial contractile protein.

The patient has become very dyspneic, respirations are 32, and the pulse is 100. The patient is coughing up frothy red sputum. What should be the initial nursing intervention?

What should a person with unstable angina avoid?

What do dark or "cold" spots on a thallium scan indicate?

During a health interview by the home health nurse, which patient complaint suggests left-sided heart failure?